Medical Billing Forum
Billing => Billing => : Jdmontee July 07, 2010, 11:34:30 PM
-
Hi All,
Received a call today from a physical therapy center that's looking to change billing companies. We have not done PT billing before and was wondering if anyone has any pointers on how difficult this billing is to do and any "wisdom" to impart???
Thanks!
Joanne ;D
-
PT billing can be a little tricky. There are requirements regarding the ordering/referring provider and how often they have to be seen by them. Medicare requires that the ordering dr see the patient at least every 30 days during therapy and the last date seen must be indicated on the claim. The PT should be giving you the claim fully coded, but it is helpful to understand what codes are allowable for what diagnoses, and the correct use of modifiers. I'm not saying you should code the claim to maximize payment, I'm just saying it is helpful to understand how the PT codes are allowed, etc. As I stated, the claim should be coming to you fully coded. But some providers do not understand all of these things and sometimes it's necessary to educate them or make sure they at least understand how they are coding. If you don't understand then you can't be of much help.
-
I appreciate you quick response. I have done a lot of internet research as to the specifics regarding workers comp in Ohio but what would you suggest we do as far as getting familar with the modifers and so forth to help the learning curve.
Thanks much!
Joanne
-
I am in a situation where I have to call a PT practice that has indicated its interest in billing with our company. And I have several PT practices and clinical social workers that I have to call also.
Since I am very new and this could be a potential client I do not want to miss the opportunity. I wonder if anyone can help me with what questions I could be asked after I have asked further questions relating to the survey this practice completed and sent to me. I do not want to appear as if I do not know anything as I have studied hard to learn this business.
What PT billing info do I need as I have to call this practice back tomorrow or I might lose their confidence.
Linda or Michell might be very useful to me here
Thanks
Richard
-
Well, I don't know what questions were on the survey, but I will try to give some suggestions.
- how many therapists are in the group
- do they bill all insurances and are they in network
- do they have any insurances that are currently problems
- how many patients do they see in a week? month?
Let them talk as much as possible, listen to what they say, look for any problems they may be having and show them how you can solve them.
Good luck.
-
Thanks a lot, Michelle.
-
<a href=http://lasix.autos/>taking lasix but not peeing much</a> Lei Shi took a step forward, his palms raised, and the powerful energy was ready to be launched
-
One study concluded that premenstrual citalopram dosing was more effective than the continuous dosing regimen 11, but differences were marginal, and the small groups had low statistical power <a href=http://stromectol.ink/>stromectol prix</a>
-
Lundberg FE, et al <a href=http://doxycycline.world/>doxycycline with dairy</a>
-
Ulysses eORVDuOmTkeXDsqGBSg 5 19 2022 <a href=http://sviagrass.monster>ingredients in viagra</a>
-
8 mg 1mL Solution drops Ophthalmic 0 <a href=http://vlasixs.cyou>lasix iv to po conversion</a>
-
<a href=https://stromectol.mom>stromectol uk price</a> However, the analysis of dose versus risk of heart failure lost statistical significance P 0
-
The use of PDE5is in PD is further corroborated in the randomized controlled trial by Chung et al <a href=http://clomid.pics>clomid from canada</a> About the Developers
-
Informed consent was obtained before participant enrollment <a href=https://nolvadex.hair>tamoxifen without prescription</a>
-
Storm DW, Mowad JJ <a href=https://cialis.christmas>buy cialis 20mg</a>
-
headache diarrhea nausea hair thinning or loss alopecia increases in the results of blood tests to check your liver function <a href=https://acialis.top>cheap cialis</a> In the year 2000, they produced 152, 157, 000, 000 worth of shipments
-
Pneumonitis is inflammation of the lungs which can lead to a new or worsening cough or difficulty breathing <a href=https://buycialis.boats>generic cialis from india</a> Finally, sodium restriction also has the adverse effects of activating the renin angiotensin aldosterone system, increasing catecholamines, and adversely affecting insulin and lipids
-
In women who have not undergone bilateral mastectomy, the use of MRI of the breasts in screening for local recurrence or a new primary cancer should be restricted to women who meet the high risk criteria of the ACS or ASCO <a href=http://zithromax.mom>buy zithromax single dose packets</a>
-
Notably, p38 directly phosphorylates at least 31 transcription factors, which most of the time triggers transcriptional activation 75, 76 <a href=https://prilig.monster>priligy review members</a>